Missouri Form 1275 PDF Details

The Missouri 1275 form, developed by the Department of Revenue, serves as a crucial application for individuals seeking various special permits related to vehicles and watercraft within the state. This comprehensive document is designed to streamline the process of applying for maintenance permits, temporary watercraft permits, temporary outboard motor permits, and documented vessel temporary permits. Each permit type caters to specific needs, such as allowing operation of a newly purchased watercraft or facilitating the maintenance of commercial vehicles outside their licensed zone. Applicants are required to provide detailed information, including proof of ownership, to ensure the legitimacy and proper use of the permits. The form emphasizes the importance of accuracy in the information provided, with stern reminders that any false statements could lead to legal consequences. Additionally, it outlines the responsibilities of permit holders, including maintaining financial responsibility for any motor vehicle operated under the permit. The instructions section of the form offers guidance on payment methods, and the document underlines specific conditions and limitations associated with each permit type, ensuring applicants are well-informed about the permits' validity and the legal framework governing their use.

QuestionAnswer
Form NameMissouri Form 1275
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names50-mile, Daytimephonenumber, FEIN, what is dln or fein number

Form Preview Example

Form

Missouri Department of Revenue

1275

Special Permits Application

 

 

 

Any false statement in this application is a violation of the law and may be punished by fine or imprisonment or both.

 

Validation Area

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant’s Name

 

 

 

 

 

 

 

 

 

 

DLN or FEIN number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Information

Street Address or RFD

 

 

 

 

 

 

 

 

 

 

County

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State, ZIP Code

 

 

 

 

 

 

 

 

 

 

Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant

 

 

 

 

(__ __ __) __ __ __ - __ __ __ __

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If applicant is a dealer, show dealer license number here:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If applicant is vehicle owner, complete information on next line.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year

Make

Body Style

Vehicle Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Enter the amount and type of permit desired. Use a separate application for each type of permit unless ordering books of permits. Proof of ownership must be submitted for each permit requested (except books of permits).

Information

No. of Items Required

Permit Type

Price (includes $3.50 processing fee)

Amount

 

 

 

 

 

Maintenance Permits

$ 8.50 each

$

 

 

 

 

 

 

 

 

 

Documented Vessel Temporary Permit

$ 8.50 per set or $53.50 per book of 10

$

Ordering

 

 

 

 

 

Temporary Watercraft Permit

$ 8.50 per set or $53.50 per book of 10

$

 

 

 

 

 

 

 

 

 

Temporary Outboard Motor Permit

$ 5.50 per set or $23.50 per book of 10

$

 

 

 

 

 

 

For Department use only: (List Permit Number(s) issued above

 

 

Signature

I hereby certify that the information given herein is true and complete and that the permit(s) applied for will be used in accordance with the statutes of Missouri. The signature below shall certify that I have and will maintain during the use of this permit, and period of registration, financial responsibility with respect to each motor vehicle that I own, license, or operate on the streets or highways. Any false affidavit is a crime under Section 575.050 of Missouri law.

 

Signature

Title

 

 

 

 

Printed Name

Date (MM/DD/YYYY)

 

 

__ __ /__ __ /__ __ __ __

 

 

 

Important Notice

Applies to Temporary Permits Only:

Your temporary permit expires _______________________ and you will be subject to a title penalty if you do not submit your application for title

on or before this expiration date.

Boats or Outboard Motors — A title penalty fee of $10 for each 30 days of delinquency, not to exceed $30, shall be imposed for failure to apply for a certificate of title within 60 days after purchase date of ___________________________________________.

Form 1275 (Revised 07-2013)

Instructions and Limitations

1.This form may be used to order four different types of permits. You will receive a Permit or a Registration Certificate for the purpose indicated on the application.

2.Each Permit is subject to the legal limitations outlined below:

Maintenance Permit — Individual can operate an empty vehicle currently licensed as a local commercial vehicle and its mounted equipment beyond the 50 mile licensed zone to or from a place of repair or maintenance, or place where the mounted equipment may be repaired or replaced. Permit is valid for 10 days from the date of issuance. Requires current registration receipt.

Temporary Watercraft Permit — Allows a Missouri resident or a non-resident to operate a newly purchased watercraft on the waterways of Missouri. The permit is valid for 30 days from the date of issuance. Requires proof of ownership.

Temporary Outboard Motor Permit — Allows a Missouri resident or a non-resident to operate a newly purchased outboard motor on the waterways of Missouri. The permit is valid for 30 days from the date of issuance. Requires proof of ownership.

Documented Vessel Temporary Permit — Allows a Missouri resident or a non-resident to operate a newly purchased vessel (boat) while a Certificate of Registration is being obtained from the U.S. Coast Guard. The permit is valid for 60 days from the date of issuance. Requires proof of ownership.

Note: These permits are not renewable or transferable. For watercraft, outboard motors, and documented vessels (boats), the applicant must carry the permit while the unit is in operation.

3.Checks may be accepted as payment. Make the check payable to: Missouri Department of Revenue. The check must be pre-printed with the check writer’s name and address, bank code, and account number. It must also include the following information regarding the check writer:

•Driver license or non-driver license number;

•Date of birth; and

•Daytime phone number.

The Missouri Department of Revenue may electronically resubmit checks returned for insufficient or uncollected funds. Other restrictions may apply.

Form 1275 (Revised 07-2013)

Mail to: Motor Vehicle Bureau

Phone: (573) 526-3669

Visit http://dor.mo.gov/

P.O. Box 100

Fax: (573) 522-4197

for additional information.

Jefferson City, MO 65105-0100

E-mail: dealerlic@dor.mo.gov

 

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50-mile completion process outlined (portion 1)

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